Provider Demographics
NPI:1972667541
Name:SIDDIQUI, AATIF (DC)
Entity Type:Individual
Prefix:DR
First Name:AATIF
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W 45TH ST STE 1708
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4220
Mailing Address - Country:US
Mailing Address - Phone:212-354-2020
Mailing Address - Fax:212-202-3965
Practice Address - Street 1:2 W 45TH ST STE 1708
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4220
Practice Address - Country:US
Practice Address - Phone:212-354-2020
Practice Address - Fax:212-202-3965
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor